All Free English MCQs with Answers

11. Choose the correct tense: By the time the ambulance arrived, the patient ____ consciousness.

• A. loses
• B. has lost
• C. had lost
• D. will lose

Explanation: Two completed past events need the past perfect for whichever happened first, so had lost marks the loss of consciousness as earlier than the arrival. The present perfect has lost cannot be used because the sentence is anchored in the past by arrived. This is the classic use of by the time as a signal for the past perfect.

12. Choose the correct tense: She ____ in this hospital since 2019.

• A. works
• B. worked
• C. has been working
• D. is working

Explanation: Since fixes a starting point for an action that began in the past and is still continuing, which calls for the present perfect continuous. The simple present works describes a general habit with no time span, and the simple past worked would mean she no longer does. Since always pairs with a perfect tense, never with the simple present or past continuous.

13. Choose the correct preposition: The doctor was accompanied ____ two senior nurses.

• A. with
• B. by
• C. from
• D. along

Explanation: Accompanied by is used for people, while accompanied with is used for things that go alongside something, as in tea accompanied with biscuits. Since nurses are people, by is required. Fixed preposition pairings like this cannot be reasoned out and have to be learned.

14. Choose the correct preposition: He has been suffering ____ diabetes for ten years.

• A. with
• B. from
• C. of
• D. in

Explanation: Suffer from is the standard collocation for illnesses and conditions. Suffer with occasionally appears in speech but is not accepted in formal usage or on entry tests. Die of, cure of and recover from follow similarly fixed patterns worth memorising together.

15. Choose the correct article: He is ____ honest officer who never accepts a bribe.

• A. a
• B. an
• C. the
• D. no article

Explanation: The choice between a and an depends on the opening sound, not the opening letter, and the h in honest is silent so the word begins with a vowel sound. The same rule gives an hour and an MBBS degree, but a university and a one-rupee coin, where the spelling begins with a vowel but the sound does not.

16. Change to passive voice: The nurse administered the injection.

• A. The injection was administered by the nurse
• B. The injection is administered by the nurse
• C. The injection has been administered by the nurse
• D. The injection administered the nurse

Explanation: The active verb is in the simple past, so the passive must be was administered, keeping the same tense. The object of the active sentence becomes the subject of the passive one and the original subject moves into a by phrase. Changing to is administered or has been administered would shift the tense, which a voice change must never do.

17. Identify the error: Each of the students have submitted their assignment on time.

• A. Each of the students
• B. have submitted
• C. their assignment
• D. on time

Explanation: Each is singular and requires has submitted, so the plural verb is the error. The pronoun their is now widely accepted after each in general usage, and the phrase on time is idiomatically correct. Error detection items usually hide the fault in the verb, so check agreement first.

18. Choose the word closest in meaning to BENIGN.

• A. Malignant
• B. Harmless
• C. Aggressive
• D. Fatal

Explanation: Benign means gentle or harmless, and in medicine it describes a tumour that does not invade surrounding tissue or spread. Malignant is its direct antonym and is the distractor students most often pick because the two words appear together so often. Aggressive and fatal both belong to the malignant side of that contrast.

19. Choose the word most nearly opposite in meaning to TRANSIENT.

• A. Brief
• B. Fleeting
• C. Permanent
• D. Momentary

Explanation: Transient means lasting only a short time, so its opposite is permanent. Brief, fleeting and momentary are all synonyms of transient rather than antonyms, which is the standard structure of a hard antonym item: three words that agree with the key word and one that opposes it.

20. Complete the sentence: Although the treatment was expensive, it was ____ effective.

• A. therefore
• B. nevertheless
• C. similarly
• D. because

Explanation: Although already sets up a contrast, and nevertheless carries that contrast into the second half. Therefore would signal a result, which contradicts the concessive opening. Sentence completion questions are usually solved by identifying the logical signpost rather than by meaning alone.